<h1><?php echo __("valitud " . $form['type']->getValue() . " aadress") ?></h1>
<?php echo $form->renderHiddenFields(true) ?>
<div id="comment_flashes"></div>
<div class="korvinfobox andmed">
	<div class="andmerow">
		<div class="arowname">
			<p><?php echo __('name') ?></p>
		</div>
		<div class="aform">
			<div class="aformcontent">
				<div class="formleft"><img src="/enermaatik/img/formleft.png" width="10" height="30" alt=""/></div>
				<div class="formcenter">
					<?php echo $form['name']->render(array('class' => 'ainput')) ?>
				</div>
				<div class="formright"><img src="/enermaatik/img/formright.png" width="10" height="30" alt=""/></div>
			<div class="clear"></div>

		</div>
		</div>
		<div class="akohustlik">
			<img src="/enermaatik/img/koh.png" width="6" height="4" alt=""/>
		</div>
		<div class="clear"></div>
	</div>
	<div class="andmerow">
		<div class="arowname">
			<p><?php echo __('address') ?></p>
		</div>
		<div class="aform">
			<div class="aformcontent">
				<div class="formleft"><img src="/enermaatik/img/formleft.png" width="10" height="30" alt=""/></div>
				<div class="formcenter">
					<?php echo $form['address']->render(array('class' => 'ainput')) ?>
				</div>
				<div class="formright"><img src="/enermaatik/img/formright.png" width="10" height="30" alt=""/></div>
			<div class="clear"></div>

		</div>
		</div>
		<div class="akohustlik">
			<img src="/enermaatik/img/koh.png" width="6" height="4" alt=""/>
		</div>
		<div class="clear"></div>
	</div>
	<div class="andmerow">
		<div class="arowname">
			<p><?php echo __('phone') ?></p>
		</div>
		<div class="aform">
			<div class="aformcontent">
				<div class="formleft"><img src="/enermaatik/img/formleft.png" width="10" height="30" alt=""/></div>
				<div class="formcenter">
					<?php echo $form['phone']->render(array('class' => 'ainput')) ?>
				</div>
				<div class="formright"><img src="/enermaatik/img/formright.png" width="10" height="30" alt=""/></div>
			<div class="clear"></div>

		</div>
		</div>
		<div class="akohustlik">
			<img src="/enermaatik/img/koh.png" width="6" height="4" alt=""/>
		</div>
		<div class="clear"></div>
	</div>
	<div class="andmerow">
		<div class="arowname">
			<p><?php echo __('city') ?></p>
		</div>
		<div class="aform">
			<div class="aformcontent">
				<div class="formleft"><img src="/enermaatik/img/formleft.png" width="10" height="30" alt=""/></div>
				<div class="formcenter">
					<?php echo $form['city']->render(array('class' => 'ainput')) ?>
				</div>
				<div class="formright"><img src="/enermaatik/img/formright.png" width="10" height="30" alt=""/></div>
			<div class="clear"></div>

		</div>
		</div>
		<div class="akohustlik">
			<img src="/enermaatik/img/koh.png" width="6" height="4" alt=""/>
		</div>
		<div class="clear"></div>
	</div>
	<div class="andmerow">
		<div class="arowname">
			<p><?php echo __('country') ?></p>
		</div>
		<div class="aform">
			<div class="aformcontent">
				<div class="formleft"><img src="/enermaatik/img/formleft.png" width="10" height="30" alt=""/></div>
				<div class="formcenter">
					<?php echo $form['country']->render(array('class' => 'ainput')) ?>
				</div>
				<div class="formright"><img src="/enermaatik/img/formright.png" width="10" height="30" alt=""/></div>
			<div class="clear"></div>

		</div>
		</div>
		<div class="akohustlik">
			<img src="/enermaatik/img/koh.png" width="6" height="4" alt=""/>
		</div>
		<div class="clear"></div>
	</div>
	<div class="andmerow">
		<div class="arowname">
			<p><?php echo __('region') ?></p>
		</div>
		<div class="aform">
			<div class="aformcontent">
				<div class="formleft"><img src="/enermaatik/img/formleft.png" width="10" height="30" alt=""/></div>
				<div class="formcenter">
					<?php echo $form['state']->render(array('class' => 'ainput')) ?>
				</div>
				<div class="formright"><img src="/enermaatik/img/formright.png" width="10" height="30" alt=""/></div>
			<div class="clear"></div>

		</div>
		</div>
		<div class="akohustlik">
			<img src="/enermaatik/img/koh.png" width="6" height="4" alt=""/>
		</div>
		<div class="clear"></div>
	</div>
	<div class="andmerow">
		<div class="arowname">
			<p><?php echo __('zip') ?></p>
		</div>
		<div class="aform">
			<div class="aformcontent">
				<div class="formleft"><img src="/enermaatik/img/formleft.png" width="10" height="30" alt=""/></div>
				<div class="formcenter">
					<?php echo $form['zip']->render(array('class' => 'ainput')) ?>
				</div>
				<div class="formright"><img src="/enermaatik/img/formright.png" width="10" height="30" alt=""/></div>
			<div class="clear"></div>

		</div>
		</div>
		<div class="akohustlik">
			<img src="/enermaatik/img/koh.png" width="6" height="4" alt=""/>
		</div>
		<div class="clear"></div>
	</div>
	<div class="clear"></div>
</div>